Homicide During Pregnancy and the Postpartum Period in the United States, 2018-2019.
Homicide During Pregnancy and the Postpartum Period in the United States, 2018-2019.
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DOI：
10.1097/aog.0000000000004567
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发表时间：
2021-11-01
影响因子：
7.2
通讯作者：
Vilda, Dovile
中科院分区：
文献类型：
--
作者：
Wallace, Maeve;Gillispie-Bell, Veronica;Cruz, Kiara;Davis, Kelly;Vilda, Dovile
估计全国妊娠相关凶杀死亡率，描述妊娠相关凶杀受害者的特征，并比较围产期（妊娠和产后1年）凶杀风险与10-44岁未妊娠、未产后女性的风险。来自国家卫生统计中心2018年和2019年死亡率文件的数据被用来确定美国所有10-44岁的女性死者。这些数据用于估计2年妊娠相关杀人死亡率（死亡/100 000活产），以与非妊娠、非产后女性的杀人死亡率（死亡/100 000人口）和产妇直接死亡原因的死亡率进行比较。我们比较了总人口中怀孕或产后与非怀孕、非产后受害者的特征和估计的凶杀死亡率比率以及95% CI，并按种族、民族和年龄分层。在怀孕或产后1年内的女性中，每10万活产有3.62起凶杀案，比非怀孕和非产后育龄女性的凶杀案发生率高16%（每10万人口有3.12起死亡，P<0.05）。怀孕期间或怀孕结束后42天内的凶杀案是导致孕产妇死亡的所有主要原因的两倍多。怀孕与黑人人口以及跨种族和族裔亚组的女孩和年轻妇女（10-24岁）中杀人风险显著升高相关。在美国，谋杀是怀孕期间和产后期间死亡的主要原因。在所有育龄妇女中，怀孕期和产后期是杀人风险较高的时期。
To estimate the national pregnancy-associated homicide mortality ratio, characterize pregnancy-associated homicide victims, and compare the risk of homicide in the perinatal period (pregnancy and up to 1 year postpartum) with risk among nonpregnant, nonpostpartum females aged 10–44 years. Data from the National Center for Health Statistics 2018 and 2019 mortality files were used to identify all female decedents aged 10–44 in the United States. These data were used to estimate 2-year pregnancy-associated homicide mortality ratios (deaths/100,000 live births) for comparison with homicide mortality among nonpregnant, nonpostpartum females (deaths/100,000 population) and to mortality ratios for direct maternal causes of death. We compared characteristics and estimated homicide mortality rate ratios and 95% CIs between pregnant or postpartum and nonpregnant, nonpostpartum victims for the total population and with stratification by race and ethnicity and age. There were 3.62 homicides per 100,000 live births among females who were pregnant or within 1 year postpartum, 16% higher than homicide prevalence among nonpregnant and nonpostpartum females of reproductive age (3.12 deaths/100,000 population, P<.05). Homicide during pregnancy or within 42 days of the end of pregnancy exceeded all the leading causes of maternal mortality by more than twofold. Pregnancy was associated with a significantly elevated homicide risk in the Black population and among girls and younger women (age 10–24 years) across racial and ethnic subgroups. Homicide is a leading cause of death during pregnancy and the postpartum period in the United States. Pregnancy and the postpartum period are times of elevated risk for homicide among all females of reproductive age.